CPT code 47554: Biliary endoscopy, calculus removal2026 Medicare rate & RVUs in Connecticut

Report percutaneous biliary endoscopy with stone removal when a clinician uses endoscopic access through the skin to clear biliary duct calculi.

CMS RVU26DEffective Oct 1, 2026One payment locality274 Medicare services in 2024

In Connecticut, Medicare pays $415.76 for 47554 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$415.76Hospital or facility

Check a contract rate as a % of Medicare · 47554 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 47554 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 47554 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 47554 covers

This service uses an endoscope passed through a percutaneous route to directly examine the biliary ducts and remove one or more stones. Interventional radiologists commonly perform it in a hospital facility, including when duct stones need treatment through percutaneous biliary access rather than an endoscopic route through the digestive tract. The service is distinct from diagnostic inspection or biopsy alone: the endoscopic procedure includes calculus removal.

Select the code when documentation supports percutaneous biliary endoscopy and stone extraction, rather than a different therapeutic endoscopic maneuver or nonendoscopic calculus removal. The record should identify the access route, biliary site, stones treated, and removal performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Bilateral adjustment is inappropriate. Assistant-at-surgery services are not paid; co-surgeons are paid only with supporting documentation, and team surgery is not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Connecticut compares for 47554

Across 109 of 109 payment localities, the facility rate for 47554 runs from $365.05 in Wisconsin to $528.93 in Alaska. Connecticut pays $415.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

47554 in Connecticut vs other payment areas
  1. Connecticut · this page$415.76
  2. Los Angeles, CA · California$405.52−$10.24
  3. Washington, DC area · District of Columbia$427.80+$12.04
  4. Miami, FL · Florida$462.77+$47.01
  5. Chicago, IL · Illinois$452.90+$37.14
  6. Manhattan, NY · New York$449.53+$33.77
  7. Alaska · Alaska$528.93+$113.17

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

47554 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$370.83
ArkansasArkansas—$367.74
ArizonaArizona—$388.59
Bakersfield, CACalifornia—$391.51
Chico, CACalifornia—$387.88
El Centro, CACalifornia—$388.08
Fresno, CACalifornia—$387.88
Hanford, CACalifornia—$387.88

47554 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
47554 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 47554 in every payment locality

How the 47554 rate is calculated

Each of 47554’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 47554

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.82

8.82 RVUs× 1.000 GPCI

Practice expense1.80

1.80 RVUs× 1.000 GPCI

Malpractice1.25

1.25 RVUs× 1.000 GPCI

Adjusted RVUs

11.8700

Conversion factor

$33.4009

Medicare rate

$396.47

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

5,700

Code
47554
Physician work
8.82
Practice expense
1.80
Malpractice
1.25

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 47554 in Connecticut
ComponentRVULocality factorAdjusted
Physician work8.82× 1.0208.9964
Practice expense1.80× 1.0771.9386
Malpractice1.25× 1.2101.5125
Total RVUs12.4475
Conversion factor× 33.4009

Facility rate, Connecticut$415.76

Facility: (8.82 × 1.02 + 1.8 × 1.077 + 1.25 × 1.21) × $33.4009 = $415.76

Open 47554 in the RVU calculator

Payment rules and modifiers for 47554

The CMS indicators that decide how 47554 is paid alongside other services.

CMS payment indicators · 47554

Biliary endoscopy, calculus removal

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

47554 without 51 · national facility

$396.47

Biliary endoscopy, calculus removal

47554-51 · Second procedure: 50%

$198.24

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 47554 has changed in Connecticut

47554 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$415.76RVU26D
2026-07-01Not available in this setting$415.76RVU26C
2026-04-01Not available in this setting$415.76RVU26B
2026-01-01Not available in this setting$415.76RVU26A
2025-10-01Not available in this setting$452.05RVU25D
2025-07-01Not available in this setting$452.05RVU25C
2025-04-01Not available in this setting$452.05RVU25B
2025-01-01Not available in this setting$452.05RVU25A
2024-10-01Not available in this setting$461.32RVU24D
2024-07-01Not available in this setting$461.32RVU24C
2024-04-01Not available in this setting$461.32RVU24B
2024-03-09Not available in this setting$461.32RVU24AR
2024-01-01Not available in this setting$453.79RVU24A
2023-10-01Not available in this setting$467.69RVU23D
2023-07-01Not available in this setting$467.69RVU23C
2023-04-01Not available in this setting$467.69RVU23B
2023-01-01Not available in this setting$467.69RVU23A
2022-10-01Not available in this setting$550.36RVU22D
2022-07-01Not available in this setting$550.36RVU22C
2022-04-01Not available in this setting$550.36RVU22B
2022-01-01Not available in this setting$550.36RVU22A
2021-10-01Not available in this setting$551.80RVU21D
2021-07-01Not available in this setting$551.80RVU21C
2021-04-01Not available in this setting$551.80RVU21B
2021-01-01Not available in this setting$551.80RVU21A
2020-10-01Not available in this setting$574.78RVU20D
2020-07-01Not available in this setting$574.78RVU20C
2020-04-01Not available in this setting$574.78RVU20B
2020-01-01Not available in this setting$574.78RVU20A
2019-10-01Not available in this setting$581.94RVU19D
2019-07-01Not available in this setting$581.94RVU19C
2019-04-01Not available in this setting$581.94RVU19B
2019-01-01Not available in this setting$581.94RVU19A
2018-10-01Not available in this setting$581.65RVU18D
2018-07-01Not available in this setting$581.65RVU18C
2018-04-01Not available in this setting$581.65RVU18B
2018-01-01Not available in this setting$581.65RVU18AR1
2017-10-01Not available in this setting$526.55RVU17D
2017-07-01Not available in this setting$526.55RVU17C
2017-04-01Not available in this setting$526.55RVU17B
2017-01-01Not available in this setting$526.55RVU17A
2016-10-01Not available in this setting$530.35RVU16D
2016-07-01Not available in this setting$530.35RVU16C
2016-04-01Not available in this setting$530.35RVU16B
2016-01-01Not available in this setting$530.35RVU16A
2015-10-01Not available in this setting$536.86RVU15D
2015-07-01Not available in this setting$536.86RVU15C
2015-04-01Not available in this setting$534.18RVU15B
2015-01-01Not available in this setting$534.18RVU15A
2014-10-01Not available in this setting$537.96RVU14D
2014-07-01Not available in this setting$537.96RVU14C
2014-04-01Not available in this setting$537.96RVU14B
2014-01-01Not available in this setting$537.96RVU14A
2013-10-01Not available in this setting$522.63RVU13D
2013-07-01Not available in this setting$522.63RVU13C
2013-04-01Not available in this setting$522.63RVU13B
2013-01-01Not available in this setting$522.63RVU13AR

Price 47554 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

47554 billing questions

How does 47554 differ from diagnostic biliary endoscopy?

Use 47554 when the percutaneous endoscopic service includes removal of biliary calculi. Diagnostic inspection or specimen collection without stone removal points to the diagnostic endoscopy code instead.

How is 47554 different from 47544?

47554 describes stone removal performed as part of percutaneous biliary endoscopy. 47544 describes percutaneous calculus removal without the endoscopic service represented by 47554.

Can a related biliary endoscopy be reported during the same session?

Related endoscopies performed together are subject to CMS endoscopy family pricing. The documentation should identify each service actually performed.

Should modifier 50 be used for stones in both sides of the biliary tree?

No. CMS identifies bilateral adjustment as inappropriate for this code; its descriptor or anatomy makes modifier 50 unsuitable.

Can an assistant or co-surgeon be paid for this procedure?

Assistant-at-surgery services are not paid. Co-surgeons are paid only when supporting documentation is submitted; team surgery is not permitted.

What same-day care is included?

The 0-day global period includes same-day preoperative and postoperative care.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 47554PPRRVU2026_Oct_nonQPP.csv, line 5,700 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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